| Doctor Name: | BRENT REYNOLDS |
| NPI Number: | 1093763187 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW,LCSW |
| License Number: | 2524-C |
| Business Practice Address: | 916 Nevada Hwy #3 Boulder City, NV - 890052300 |
| Business Phone Number: | 7022942866 |
| Business Fax Number: | 7022942866 |
| Mailing Address: | 916 Nevada Hwy, #3 BOULDER CITY |
| State: | NV |
| Postal Code: | 890052300 |
| Phone Number: | 7022942866 |
| Fax Number: | 7022942866 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2524-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |